Impact of primary care physicians working part-time on patient care: A scoping review.

IF 2.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

European Journal of General Practice Pub Date : 2023-12-01 Epub Date: 2023-11-01 DOI:10.1080/13814788.2023.2271167

Sebastian Kegreiss, Christian Studer, Patrick E Beeler, Stefan Essig, Rebecca Tomaschek

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引用次数: 0

Abstract

Background: Increasing numbers of primary care physicians (PCPs) are reducing their working hours. This decline may affect the workforce and the care provided to patients.

Objectives: This scoping review aims to determine the impact of PCPs working part-time on quality of patient care.

Methods: A systematic search was conducted using the databases PubMed, CINAHL, Embase, and the Cochrane Library. Peer-reviewed, original articles with either quantitative, qualitative or mixed methods designs, published after 2000 and written in any language were considered. The search strings combined the two concepts: part-time work and primary care. Studies were included if they examined any effect of PCPs working part-time on quality of patient care.

Results: The initial search resulted in 2,323 unique studies. Abstracts were screened, and information from full texts on the study design, part-time and quality of patient care was extracted. The final dataset included 14 studies utilising data from 1996 onward. The studies suggest that PCPs working part-time may negatively affect patient care, particularly the access and continuity of care domains. Clinical outcomes and patient satisfaction seem mostly unaffected or even improved.

Conclusion: There is evidence of both negative and positive effects of PCPs working part-time on quality of patient care. Approaches that mitigate negative effects of part-time work while maintaining positive effects should be implemented.

查看原文本刊更多论文

初级保健医生兼职对患者护理的影响：范围界定综述。

背景：越来越多的初级保健医生正在减少他们的工作时间。这种下降可能会影响劳动力和为患者提供的护理。目的：本范围审查旨在确定兼职PCP对患者护理质量的影响。方法：使用PubMed、CINAHL、Embase和Cochrane Library数据库进行系统检索。经过同行评审，考虑了2000年后发表的以任何语言撰写的具有定量、定性或混合方法设计的原创文章。搜索字符串结合了两个概念：兼职工作和初级保健。如果研究人员检查了PCPs兼职工作对患者护理质量的任何影响，则纳入其中。结果：最初的搜索产生了2323项独特的研究。对摘要进行筛选，并从全文中提取有关研究设计、兼职和患者护理质量的信息。最终数据集包括14项利用1996年以后数据的研究。研究表明，兼职PCP可能会对患者护理产生负面影响，尤其是护理领域的可及性和连续性。临床结果和患者满意度似乎大多未受影响，甚至有所改善。结论：有证据表明，PCPs兼职工作对患者护理质量既有负面影响，也有积极影响。应采取减轻非全日制工作的负面影响，同时保持积极影响的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL

CiteScore

5.10

自引率

5.90%

发文量

审稿时长

>12 weeks

期刊介绍： The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.